Hope Center Tourn Reg Form.qxp_Layout 1 1/20/15 12:38 PM Page 1 PARTICIPANT REGISTRATION INFORMATION Please fill out this form as you would like it to appear for sponsorship information. Please email your logo to [email protected]. This information will be used as it appears in this section. SPONSORSHIP OPPORTUNITIES - COMPANY NAME:__________________________ I would like to support the Hope Center with a sponsorship: ____ Hope Sponsorship ($5,000) ____ Wish Sponsorship ($900) ____ Hole Sponsorship ($200) ____ Learning Sponsorship ($2,500) ____ Connections Sponsorship ($1,500) ____ Tee Sponsorship ($150) Credit card information: Name as it appears on card __________________________________ Card type: Visa Mastercard American Express Discover Card #: ______________________________ CVC: ____ Exp. ____ Address:__________________________________________________ Ciy, State, Zip: ____________________________________________ Signature: ________________________________________________ ❍ I have enclosed a check for my sponsorship. Pay online at www.hopecenterforautism.org Name: ______________________ Handicap ________ Address: ____________________________________ ____________________________________________ Phone: ______________________________________ I cannot attend; however I would like to show my support with a donation. ❍ $25.00 ❍ $50.00 ❍ $100.00 ❍ Other $_________ E-mail:______________________________________ ❍ ❍ ❍ ❍ I paid online. I am an individual player, and I have enclosed a check for $200 (Golf/Lunch). I am part of a foursome and have enclosed a check for $700 (Golf/Lunch). Additional lunch - $25. ADDITIONAL PLAYERS: PLAYER 2: Name:______________________________ Handicap: __________ PLAYER 3: Name:______________________________ Handicap: __________ PLAYER 4: Name:______________________________ Handicap: __________ ADDITIONAL LUNCH: Name: ________________________________________ Email: __________________________ Name: ________________________________________ Email: __________________________ Please mail or fax this form - deadline for entry is aPril 10, 2015 1695 se indian street • stuart, florida 34994 | Ph: 772-334-3288 • fax: 772-872-7229 for registration, payment or more info go to: www.hopecenterforautism.org